Inspection on 28/04/10 for Ferringham House

This is the latest available inspection report for this service, carried out on 28th April 2010.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ferringham House 21/11/07

Ferringham House 24/01/07

Ferringham House 01/09/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for older people Name: Address: Ferringham House 58 Ferringham Lane Ferring Worthing West Sussex BN12 5LU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Annette Campbell-Currie     Date: 2 8 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Ferringham House 58 Ferringham Lane Ferring Worthing West Sussex BN12 5LU 01903242334 01903705695 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ferringham House Limited Name of registered manager (if applicable) Mrs Susan Leaney Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 14. The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Ferringham House is registered to provide personal care for up to fourteen older people. Accommodation is provided by twelve single and one double room all with ensuite facilities. There is a passenger lift to the first floor. The home is situated in the centre of the village close to shops, church, post office and park which residents are able to use. The seafront is also close by. The current fees being charged by the Care Homes for Older People Page 4 of 24 Over 65 14 0 Brief description of the care home home are from £545 per week. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three star. This means that people who use the service experience excellent quality outcomes. The previous key unannounced inspection took place on 21st November 2007, at that time the home was assessed as providing excellent quality outcomes for people living there. In November 2009 an annual service review (ASR) was carried out. We (the Commission) carried out the site visit over three and a half hours. Mrs Leaney, the registered manager assisted with the inspection. There were eleven people living in the home at the time of the visit. The manager completed an annual quality assurance assessment (AQAA) when we asked for it. This contained the information we requested to help us in planning the site visit. Care Homes for Older People Page 6 of 24 We sent out surveys to find out what people think about the home. Three people living in the home completed surveys, some with the assistance of relatives. One health or social care professional and six staff also returned surveys. The comments that people made have been used to help make an assessment of the service. We spoke with three people living in the home and three members of staff including the cook. We saw the communal areas of the home, the toilets, laundry room and four bedrooms. We read the following documents: the case records for three people, the complaints policy, menus, staffing rotas, samples of medication records and storage, the recruitment records for one person appointed as a carer in the past twelve months and some training records. The outcomes for people have been assessed in relation to twenty-one of the thirtyeight National Minimum Standards for Care Homes for Older People; including those considered to be key standards to ensure the welfare of people living in the home. Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before they move to the home. Evidence: The manager said in the AQAA that each person has their care needs assessed before they decide to move to the home, to make sure the staff team would be able to meet their needs. People are given the opportunity to visit the home before they make a decision about moving there. The people who returned surveys indicated that their care needs are being met. The manager carries out all the pre-admission assessments. Mrs Leaney said she makes sure that the person would be compatible with others in the home and would be likely to be able to remain in the home for at least twelve months, so that people do not experience too many moves if their health deteriorates. A member of staff has achieved the NVQ in care at level four and the manager is supporting her in learning the assessment process. Care Homes for Older People Page 10 of 24 Evidence: We looked at the case records for three people living in the home. There were copies of pre-admission assessments carried out by the manager. There was information on the form about peoples medical and personal care needs. Peoples spiritual needs had been noted and there was some information about their interests. It was not clear how a decision had been made about whether or not the home could meet each persons care needs. The manager said that she would ensure that pre-admission assessments and the decision making process is documented in more detail. The home does not provide intermediate care however respite care is provided. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs set out in a plan of care so that they receive the health and personal care that they require. The medication policies and practices usually protect people. Staff treat people with respect and protect their privacy. Evidence: A format is used for documenting care plans and risk assessments. The manager said in the AQAA that each person has a care plan and families are involved with peoples care planning when appropriate. The people spoken with said that they receive the care they need and several people said the staff are wonderful and do everything they can to make us comfortable. We looked at the case records for three people. There was information about peoples basic care needs and with some guidance to staff about the way to provide care. Staff have indicated that they know people well and understand their needs. There was evidence to show that care plans had been reviewed although one persons needs have changed recently and the care plan had not been changed to reflect the new guidance. The changes had been noted in the daily records. Staff spoken with said Care Homes for Older People Page 12 of 24 Evidence: that they use the care plans and make sure that all key information is recorded. There were risk assessments for mobility and the risk of falls. The manager said that she would make sure that other aspects of risk would be assessed and monitored, for example skin integrity. The owner said that the home has a good relationship with the local primary care team and that people receive the specialist care that they need in a timely fashion. The manager is a registered nurse and has the expertise to ensure that people have the physical and health care that they need. The community nurses provide nursing input when people require this. There are medication policies and procedures in the home and the manager is responsible for ensuring that all guidance is followed by staff. Medication is only administered by staff who are trained and competent to do so. People are encouraged to administer their own medication if they are able to do this safely. We saw disclaimer forms on case records to show that people had agreed to hold their own medication. The manager said that she would ensure that risk assessments are documented and kept under review to make sure that people continue to have the capacity to keep themselves safe and to provide guidance to staff about the procedures they should follow, for example when people take their medication out of the home. The manager said that she would make sure that people who hold their own medication have a lockable facility to keep the medication safe. The medication storage facilities for the home meet requirements and the sample of medication records we saw were in order. The manager said that the local pharmacy provide advice and guidance when necessary. Staff are provided with guidance about how to protect peoples privacy and dignity as part of their induction and ongoing supervision and training. During the day people were being treated with courtesy and respect and all those spoken with said that the staff are very good. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People choose the lifestyle that they prefer. People are supported to maintain contact with their families and community links. People are provided with a varied and balanced diet and enjoy their food. Evidence: The manager said in the AQAA that it has been difficult to motivate people to take part in activities. A bingo session is held once a week and also a film afternoon that was requested by people in the home. A number of people are independent and maintain community links with local clubs. The manager said in the AQAA that more time is spent with people on a one to one basis because people do not appear to want to join in with group activities. The two care staff on duty during the day are also responsible for cleaning the home so there is limited time for them to spend taking people out or sitting with them in the home. People spoken with said they are content with the way they spend their time. Theatre trips and outings are arranged from time to time. Visitors are welcomed in the home and people are supported to maintain contact with their families and community links. Care Homes for Older People Page 14 of 24 Evidence: People are encouraged to make some choices in their daily lives and there is an emphasis on supporting people with their independence. There are three cooks who work over seven days and provide the main meal at lunch time. The food is of a high standard with fresh, local produce used including fresh fruit and vegetables. There are two choices of meal at lunch time and special dietary needs are catered for. People spoken with and those who returned surveys said they enjoy the food. The cook is aware of everyones likes and dislikes. The dining room is attractively set out and most people choose to take their lunch and supper in the dining room. Breakfast is provided at seven-thirty every day in peoples rooms. Some people may prefer to choose a later time to take their breakfast and the manager said that she would follow this up. The manager also said that nutritional assessments would be carried out if there was a concern about someones wellbeing and peoples weight is monitored. If a concern is identified the persons fluid and food intake would be recorded and monitored. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their concerns or compaints would be listened to and taken seriously. Any concerns are quickly addressed so that people experience an excellent quality of life. There are measures in place to protect people from harm. Evidence: There is a complaints policy and procedure that is displayed in the home and given to each person when they move in. There is a system for recording any complaints that are made; no complaints have been made in the past twelve months. Residents meetings are held four times a year so that any issues or concerns could be raised and then would be addressed. Every effort is made to make sure that people experience a good quality of life at Ferringham House and that any concerns are addressed as a matter of priority. The home follows the West Sussex multi agency safeguarding policies and procedures on safeguarding vulnerable adults. The manager said that all staff have completed training in safeguarding procedures and the staff spoken with said that they understand their responsibility to report any concerns they may have. There have been no safeguarding issues reported in the home. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with a well maintained and comfortable home. Evidence: There is a programme of maintenance for the home and the manager said in the AQAA that all equipment is serviced as required. The home is comfortably furnished and people spoken with said that they are very happy with their rooms. The gardens are well cared for and provide a comfortable place for people to use in good weather. The manager said that she would seek the advice of the fire officer regarding the use of wedges to prop bedroom doors open. The advice of the environmental health officer must also be sought with regard to the need for window restrictors on the first floor. The care staff are also responsible for keeping the home clean. All the bedrooms, the communal areas, bathrooms and toilets, also the kitchen is cleaned by care staff each day. They are also responsible for laundry duties. Eight of the sixteen staff have completed training in infection control. The manager said that she would ensure that substances that are hazardous to health would be kept in a lockable facility to keep people safe from harm. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a team of staff who are dedicated, well trained and supported and competent. Evidence: The staffing levels in the home meet the needs of the people living there. The manager said that people living at Ferringham House do not need a high level of personal care. There are two care staff on duty during the day and at night there is one person on waking night duty and one sleeping in. The staff spoken with and those who returned surveys said that they have the information and support they need to provide care for people living at Ferringham House. Both care staff on duty in the mornings and afternoons are responsible for cleaning duties, this means that they do not have time to sit with people to ensure that they have some stimulation in their day or to take people out. The manager said that she is responsible for the recruitment procedure and there is no administrator for the home. We looked at the records for one recently appointed member of staff. An application form had been completed and a curriculum vitae (CV). The application form did not include space for a full employment history in line with regulations, however the manager said that she always requests a CV. There was evidence to show that two written references had been obtained and that Care Homes for Older People Page 18 of 24 Evidence: the home had received an enhanced Criminal Record Bureau (CRB) check. The manager said she would check the guidance regarding the portability of CRBs and the need to ensure that an Independent Safeguarding Authority (ISA) check is carried out before anyone starts work in the home. There is an induction programme that meets the Skills for Care standards. There is an ongoing programme of training that includes the mandatory training and also some specialist topics. The manager is committed to ensuring that staff have the training that they need and all the staff spoken with and those who returned surveys said that they have very good training opportunities. Fourteen of the sixteen care staff have achieved the National Vocational Qualification (NVQ) in care at level two or above. This exceeds the target of 50 recommended in the National Minimum Standards for Care Homes for Older People. More than 50 of the staff have worked at the home for over five years, the manager said that they are loyal, committed and motivated; people living in the home spoke highly of the staff team and the care that they receive. The staff spoken with said that they all work well as a team and know the people living in the home well. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a home that is well run and their views about the home are sought and taken account of. The health and safety policies and procedures usually protect people. Evidence: The manager is a registered nurse and has been in post for many years. She is committed to her ongoing training and development as part of the registration requirements of the Nursing and Midwifery Council (NMC). Mary Etherington, the responsible individual for the company works in the home and stays on the premises. She provides support to the manager, staff and people living in the home. There are some quality assurance systems in the home. Peoples views are sought every year and any issues that arise are dealt with quickly. There are residents meeting every four months and this provides an opportunity for people to bring ideas or raise concerns. The manager uses a standard format for auditing the service and she said that she would ensure that risk assessments and regular checks of the Care Homes for Older People Page 20 of 24 Evidence: building would be carried out. The home does not support people with their finances; this is done by family members or solicitors. There are policies and systems for health and safety issues in the home. The manager said that staff have all completed updated training in health and safety issues. Incidents and accidents are appropriately recorded and there is a system for monitoring incidents so that preventative measures can be put in place where possible. The manager is due to seek the advice of the fire officer with regard to the use of wedges to hold open doors and the environmental health officer with regard to the need for window restrictors on the first floor. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!